Organization Active NPI

Stamford Emergency Medical Services, Inc.

  • Land Ambulance
  • Stamford, CT
National Provider Identifier
1700985348
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
C135P1 Issued in CT
Legal business name
STAMFORD EMERGENCY MEDICAL SERVICES, INC.
Practice address
684 Long Ridge Rd
Stamford, CT 06902-1225
Phone
(203) 968-1118
Fax
(203) 322-0658
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Squires
Title
Executive Director
Phone
(203) 968-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X C135P1 CT Primary

Addresses

Primary practice location

684 Long Ridge Rd
Stamford, CT 06902-1225

Mailing address

684 Long Ridge Rd
Stamford, CT 06902-1225
Phone (203) 968-1118

Other identifiers 1

IdentifierTypeStateIssuer
004105319MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000401 CT Part B Supplier - Ambulance Service Supplier 6800859844 Practice locations: Stamford, CT

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

684 Long Ridge Rd
Stamford, CT 06902
Phone (203) 637-2351

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1700985348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 LONG RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021225",
            "telephone_number": "203-968-1118",
            "fax_number": "203-322-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 LONG RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021225",
            "telephone_number": "203-968-1118",
            "fax_number": "203-322-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-968-1118"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "C135P1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004105319",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.